Best Treatment for Fine Lines Under Eyes?

I have a few little fine lines, mostly under the left eye, while under the right eye it's pretty smooth. I had tried the Juvederm injections and that was a disaster - it led to swelling and bagging. I tried Fraxel Laser treatments and those seemed to just make the slight lines a little deeper. Is there anything, including any skin care products and dietary changes/supplements, that I can use which can help with this? I don't want to mess up my skin anymore with "overkill" techniques which left me disappointed and looking a little worse.

Doctor Answers 5

Get to the root of the problem

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The first question I would ask is, do you have some underlying situation that is causing the lines. One of the most common causes is ocular allergies. Patients with ocular allergies also tend to swell a lot with under eye Juvederm. If you’re not sure if you have allergies, the most common symptom is itching. People with allergies swell and rub their eyes, both lead to wrinkles. If you have allergies, I would consider using one of the very good over the counter drops. I would suggest Zaditor or Patenol. Each is used twice a day and take about a month to see the full effect.

To treat under eye wrinkles, avoiding the sun is important and using a good skin care line like Obagi (under the supervision of a cosmetic surgeon or dermatologist). A more aggressive treatment that may be worth considering (depending on your skin type) is CO2 laser resurfacing. However that treatment has a long downtime.

Philadelphia Oculoplastic Surgeon
4.8 out of 5 stars 24 reviews

Under Eyes Fine Lines Treatment

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Dear samara:

I would suggest treatment of the fine lines under your eyes with chemical peels or laser resurfacing treatments as well use of a topical retinoid for maintenance.  Appropriate sunscreen and eye protection is also key in preventing progression of these fine lines.  Hope this information helps.

Lines Under The Eye Area

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For very fine lines, chemical peels and laser resurfacing can help soften these lines. If volume loss is contributing to these lines as well, a soft, fine filler such as Restylane or Belotero can help as well.

Ava Shamban, MD
Santa Monica Dermatologic Surgeon
3.9 out of 5 stars 9 reviews

Treatment of facial wrinkles around the eyes

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Our office specializes in facial rejuvenation. Fine lines and wrinkles around the eyes can be improved with a combination protocol including Botox, chemical peels, photofacials, and laser resurfacing.

Dr. Karamanoukian

Fine lines on eyes

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Several different skin care lines can often help with skin pigmentation issues and fine lines.  I prefer the Obagi lines.  The tretnoic acid can help with the fine lines and the hydroquinone can treat the pigmentation issues.

Steven Wallach, MD

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.